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11407 SW LOMITA AVENUE 1 1 V ' v E r 0 t . ci- w �i t 'i 1 I �I rl h4 snN:IAV HT TWOI MS SO6TT w» CITYOF T'IGAR D CERTIFICATE OF OCCUPANCY #: MST97-005 DEVEL OPMENT SERVICES DATES UIED: 01//16/1998 35 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135DA-03010 ZONING: R-4.5 JURISDICTION: TIG SITE ADDRESS: 11407 SW LOMI FA AVE SUBDIVISION: BLOCK: LOT: CLASS OF WORK: NEW TYPE OF USE: SFA. TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: Rebuild and add to an existing duplex building. (unit 'B' has a derno permit#BUP97-0538) Owner: VERNIG, SEAN + JUSTI NE 11405 SW LOMITA TIGARD, OR 97223 Phone: Contractor: SEQUOIA BUILDERS INC 10540 SW LAUREL ST BEAVERTON. OR 97005 Phone: 646-4606 Reg #: This Certificate issued 080123/211011 grants occupancy of the above referenced building or porticn thereof and confines that the building has been inspected for cumpliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced pe mgt was issued. BUILDING INSPECTOR BUILDIN"FFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION / MST 7-00s <'S 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 j -- _ \ i BtJP _ Date Requested > �-' G G AM_—_ PM BLD Location_—� �D✓Yl4 �_- Suite MEC — Contact Person Q Ph P' M Contractor QUIC1 %XCS • Ph SWR — ILDING Tenant/Owner ELC — --_ Re lining Wall ELR F,oting Access: /,� n FPS _ Foundation ��,��- (,�,� ta, Ct-��CL/•�� G/ Ftg Drain SGN Crawl Drain InE:tion Notes: Me 7 /� l ,/ Slab _p _ c '""` SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear n L Framing YL.��) N �� _�d.-- Q- l� 6 Insulation �- Drywall Nailing �,l Al Firewall 'ire Sprinkler _____ - Fire Alarm Susp'd Ceiling _- Roof ' &a C - --- -- --��"y - - -- ikS."� ,�- 1 PARTFAIL _ — -- BINr Post& Beam --- c Under Slab A , ��- A Top Out Water Service 1�S Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Q Post&Beam Rough In Gas Line -- _ -- -- - --. Smoke Dampers ` Final -- ---- -� -- PASS PART FAIL ELECTRICAL Service — ervice Rough In -------- - - _ � UG/Slab - _� ---- - Low Voltage Fire Alarm ----- Final PASS PART FAIL _- -__- ---SITE _ Backfill/Grading --- --- - _--- Sanitary Sewer Storm Drain [ j Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE [ ]Unable to inspect no access ADA Approach/Sidewalk Other Date _Z` 3z d d _ Inspector --- - Ext Final PASS PART FAIL DO NOT REMOVI_ this inspection record from the job site. '�: ,� , � � � � 'l ,I � � � c � �. �� --- CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE FALCON PLUMBING 401 SW CORNELIUS PASS RD HILLSBORO OR 97123 Plumbing Signature Form Permit # . . . . : MST97-0535 Date Issued. : 01/16/98 Parcel . . . . . . : 1S135DA-03000 Site Address : 11407 SW LOMITA AVE Subdivision. : Block. . . . . . . . Lot . Zoning. . . . . . . R-4 . 5 Remarks : Rebuild and add to an existing duplex building. (unit 'B' has a demo permit #BUP97-0538) Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM PLUMBING CONTRACTOR.: FALCON PLUMBING 401 SW CORNELIUS PASS RD HILLSBORO OR 97123 Phone # : Reg # . . : 104318 Signature of Authorized Plumber CITY OF TIGARD MAS-TER PE=RMIT DEVELOPMENT SERVICES F,ERMI1- #. . . . . . . : MST97-0535 ZbAft 13)25 SW Hall Blvd., Tigard,OR 97223 (563)639.4171 DAl'E ISSUED: 01/16/96 FIARCEL.. : 1 S 1 5DA--03000 SITE.. ADDRESS. . . : 11407 SW LOMITA AVE SUBDIVISION. . . . : 7.ONING. R--4. 5 RL-OU;K. . . . . . . . . . I._0T. . . . . . . . . . . . . JURISDICTION: TIG Remarks: Rebuild and add to an existing duplex building. (unit 'Br has a demo permit tBLP97A638) BUILDING -------------------------------------- ----------- ------ - - REISSUIE: STOR.IES.......: 2 FLOOR AREAS------- -- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------- CLASS OF WORI!.:NEW HEIGHT........: 20 FIRST....: 800 sf GARAGE.....: 528 c LEFT..........: 0 SMOKE DETECTRS: Y TYPE OF USE...:SFA FLOUR LOAD....; 40 SECOND...: 624 sf FPONT.........: 44 PARKING SPACES: r TYPE OF CONST.,-5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGKf.........: ca OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 1424 sf VALLIF..1: 104601 REACH........... 35 ---------------------------------------------------------------- PLUMBING -------------------------------------- SINKS.........: I WATER CLOSETS.: 3 WASHING MACH..: 1 LALWDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 3 DISHWASHERS...: 1 FLOOR DRAiN5..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: ? CATCH BASINS..: 0 TUB/SHOWERS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: I WATER LINE ft: 0 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 -------------------------------------------------------------- MECHANICAL ------------------------------------------------------------------- FUEL TYPES------------ FURN ( 100K ..: I BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYFN: 1 GAS FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: r. MAX INP. : 0 BTU FLOOR FURNACES: 0 VENTS.........: a WOODSTOVES....: 0 GAS OUTLETS.. : 1 ---- ---- ------------------------------------------------------ ELECTRICAI- —---------------------------------------------- ----•-------------- ----RESIDENTIAL UNIT---- - -SERV ICE/FEEDER-••-- ---TEMP SRVC/FEEDERS-- -----BRANCH CIRCUITS--- ----MISCELLANEOUS---- ---ADD'L INSPECTIONS-- 1000 SF OR LESS: l 0 - 200 asp..: 0 0 200 asp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER (NSPECTION: 0 EA ADD'L 5008F.: 2 201 - 400 asp..: 0 201 - 400 amo..: 0 1st W/O SVC/FDR: 0 SIGN/0111 LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 asp..: 0 40i - 600 asp..: 0 FA ADDL BR CIR: 0 SIGNAL./PANEL...: 0 IN PLANT......: 0 MANE HM/SVC/FDA: 0 601 - 1000 asp.: 0 601+asps-1000 v: 0 MINOR LABEL -10: 0 10004 asp/volt.: 0 --- - -- -- ---------------------- PILAN FEvIEW SECTION ---------------------------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: --------- ---------------------------------..--- ELECTRICAL - RESTRICTED ENERGY ------------------------------------------------____ A. SF RESIDENTIAL--------------------------- B. COMMERCIAL----------------------------------------------------------------------------------- AUDID 4 STEREO.: VAC" SYSTEM..: AUDIO b STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OTH: :: X BOILER.........: HVAC...........: LANDSCAPE/1RRIP: PROTECTIVE SIGNL: GARAGT-- OPENER... CLOCK........... INSTRUMENTATION: MEDICAL......... OTHR: MVAC...........: DATA/TELT COMM.: NURSE- CALLS.... : TOTAL UI SYSTEMS: 0 Owner: ---------------------------------Contractor: ------------------------------- TOTAL FEEC:f 1270.46 VERNIG, SEAN E JUISTINE. SEQUOIA BUILDERS INC, This permit is subject tc the regulations contained in the 11405 SW LOMITA 10540 SW LAUREL ST Tigard Municipal Code, "',ate of Ore. Specialty Codes and all TIGARD OR 97223 BEAVERTON OR 97005 other applicable law;. All work will be done in acccrdance with approved plans. Tris permit will expire if work is Phone h Phone N: 646-4606 not started within 180 days of issuance, or if the work is Reg C.: 000681 suspended for sore th-.n leo days. ATTENTION: Oregon law ---------------------------------------------------- -------- - requires you to foll,iw rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-001-0010 throuqh OAR 952-001-0080. fou may obtain copies of these rules or direct questions to OUINC. by ca'ling 1503)246-1987. ---------------------------.-.-------------------------------- REWIRED INSPECTIONS --------------- -------------------------------------------- Erosion Control Post/Beat Meehan Electrical Servi Framing Insp Shear Wall Insp Water Service In Footing Insp Ple/Ulnderfloor Electrical Rough Fireplace Insp Firewall Insp Appr/Sdwlk Insp Foundation Insp Crawl Drain/Back Mechanical Insp Gas Line Insp Gyp Board Insp Sprinkler Underf Wtr• Proofing Bse Slab Insp Low Voltage Gas Fireplace Pain Drain Insp Sprinkler Rough- Post/Beam Struct Plm/undslb Insp Plumbing Top Out Insulation Insp War,;' '-ine Insp Additional...... Iss�ced Py : _ AENUA `� Flermittee Signatl.cre• __ 4-++++++++++ ++++++++++-4+1-+++++++4++-}+4++++-F 1•}+++i+++++ +++ J4 +++ +++++4 Call 639 -4170 by 7:00 p. m. for^ an inspectinn needed the ne�.t b�_ e<< day CITY OF TSEWER CONNECTION DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT 0. . . . . . . : SWR97-042 DATE ISSUED: 01/16/98 PARCEL : 1S135DA-03000 SITF ADDRFSS. . . - 1 1 407 SW 10MT TA AVF SUBDIVISION. . . . : ZONING: R-4. 5 FLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG TENA^IT NAME.. . . . . : VERNIG, SEAN R: ,LIS-FINE USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS OF WORN. . . :NEW DWELL.I NG UNITS. . - 0 TYPE OF USE. . . . . :SFA NO. OF BUILDINGS: 0 INSTALL TYPE:. . . . :LTP T MPERV SURFACE: 0 s f Remarks: Reconnect to an existing sewer, line. Original one half of existing di_4plex was demolished (see permit #BUP97-0536) . Qwner: - -- -- --------_._.___.__..__.______________—____._.___._.._._-.._.._... _-- FEES SEAN SEAN VERNIG type amot_ont by date recpt 11405 SW LOMITA AVE. INSP $ 35. 00 B 01 /16/96 98-3O2556 TIGARD OR 97223 Phone #: Contr-actor,: ----------------------•--------- S)E000I A BUILDERS INC 10540 SW LAUREL ST BEAVERTON OR 97007) Phone #: 646-46O6 f 35. 00 TOTAL Reg #. . : 000681 ----- - REQUIRED INSPECTIONS ---This Applicant agrees to comply with all the rules and regulations Sewer- Inspection of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be fo- `eited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you tc follow rules adopted by the Oregon Utility Notification Center. Those -ules are set forth in OAR 952-BBS-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OLINC by calling (503)246-1987. Tssllelj by : �tttj% /' #-- Permittee Signatare: •,-++++++++++++++++++++++++++++++++++++++++++•t+++++++++1-i++++++++++++++++.f++i•+++++ Call 639-4175 by 7:00 p. m. for an iospertion needed the npxt bi-isinpss day ++++++++++++++++++++-I ++++4•++++++++++++++++++++++t•4•++++.+++++++++++++++4++++++4.++ l_ Plan Check# CITY Ol� TIGARD Residential Build j Permit Application Recd By 13125 SW HALL BLVD. New 0onstruction Additions or Alterations Date Recd TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. /,2 V 503-639-4171 Date to DST /? -- F 503-684-7297 Permit Print or Type called Incomplete or illegible applications will not be accepted 5a)f'`�a Name of project Name Job i t] <Z IU T- Cy ::L�. Architect Malling ddress+ Address site JuS�Yv Laiwcl �� I I -((J-1 5,(),1t;+� S. w• _ Name pity/State Zip Phone �a('l_v� s1 aLtS�IY�C V f t ti�t � 1 Cave l�v� q&wV 6 f(' Name Ownp;r Mailing Address Mfr. S �) lumen t� City/State Zip I Phone g En ineer Mailing Address General Name City/State Zip Phone Contractor A- ��L CSL L "jam„ Describe work Newt/ Addition 0. Alte ation O Repair O Mailing Address to be done: Prior to permit y� Ste,'.J /��e Additional Description of Work- issuance, a copy City/Stat v t v Zip Phone of all licenses '_,/� 4 ,'4�' are required if Oregon Const.Cont. Board Exp.Date PROJECT VALUATION expired in COT Lic# 1� /� / database R S K �/I `� ___ `r V Mechanical Name NEW CONSTRUCTION NLV Sub- Sq. Ft. House. Sq. Ft. Carage Contractor Mailing Address _ Prior to permit -(I.')') L-J �(.l1 C `>t Corner Lot YES NO Flag Lot YES NO issuance, a copy Clty��state zip Phone (check one) (check one _ of all licenses \�'T,,,J�'tt� Restricted Audio/Stereo Burglar are required if Oregon Const Co-f,Board �y Exp.Date Energy System _ Alarm expired in COT Lic# LL I ti +S database_ 7� .� Instal!ation Larage Door HVAC Plumbing Name Op3ner Systems Sub- '`,\ ,;�� (check all that Other: Contractor Mailing Address apply) - _---_ Will the electrir_al subcontractor wita for all YES NO restricted energy installations? _ Pa copy '1 123 to pe City/State Zip hone issuance, a coHas the Subdivision Plat recorded? N/A Y1-9 NU 11( s�r�.� G �(-� �`� of all he.4nses are Oregon Const.Cont. Board Exp Date T requires if L c# 4 Reissue of MST# Solar Compliance expired in COT J L� r ( (Calculation Attached) _ --- — database Plurnbing Lic.# Exp Date I hearby acknowledge that I have read this application, that the information giver, is correct, that I am the owner or authorized Name 1 —— agent of the owner, and that plan,submitted are in compliance with Oregon State laws _ Electrical J�r _n(r.L, It E� ( __ S�g�r pture of Owner/Aggnt v Date Sub- Mailing Address t! U II I i k' ContractorContact Person Name Phone# City State Zip Phone r Jcc y i�^G Prior to perm,t FOR OFFICE USE ONLY: issuance. a copy �\ �,V�.rcC t i G'�( ��_i Plat#: MaplTL#: of all licenses are Oregon Const Cont. Board Exp Date required it Lic.#.. �.I? %� Setbacks: Zone Solar: expired in COTS database Flertrical Lic # Exp Date -- - ' All t ( Engineering Approval. Planning Approval TIF: TI Ir/ f I:SFREM DOC (DST) 4/97 Bax B. continued Box B: ,'telsure change to elevation from front property line to finished floor elevation. If the lot _,lopes up from the front lot line to the foundation, the Figure is positive. If , ft the lot slopes down from the front lot line to the foundation, the figure is negative. 3. Measure distance from finished floor elevation to the affected peak/eave. + ft 4. If the rtof line runs North-South, deduct three feet_ If the roof line runs East-West, deduct nothing. 5. Subtract one foot for each foot of difference in elevation from the front property line to the rear property line, if the lot slopes up from th.: front to the rear. If he lot has no slope or slopes up from the rear to the front, deduct nothing. _ ft 6. Total figure for box B: j _�� ft Box G Distance to the shade reduction lime. Box C: 1. Measure the distance from the '-4orth property line to the foundation near the a affected peak/eave. 2. Measure the dttstancz from the foundation to the affected peak or eave. + 3. Total figure for box C. zty %'z ft Itis most useful to draw a vertical ane to represent the appropriate figure found in box'A'avJ a horizontal Gne to represent the appropriate morn. found in box'C'.The intersection of the verti al and horizonal rues determines the value found in bout'O".The value n boot 'O'siwuld he compared to the value in boot'8'; if the value in boor'9'is Less than or equal to the value found in box 'O',then the bolding is in comprianre with the sour balance code. If you have any questions,pleose contact us at 639-4171,x304 or at the Community Devek)xn t Counter. MAXIMUM PER1Ml'iTED SHADE POINT HEIGHT (In Feet) !�— Cktar ce to North-south lot dimension Cin feet shade 100+ 95 90 65 80 75 70 65 60 55 50 45 40 reductitxs rine from northern tat 5nr fin regi] 70 40 40 40 41 42 43 44 65 33 38 38 39 40 41 42 43 60 36 26 36 37 38 39 40 41 4,! 53 34 34 34 35 36 37 38 39 a0 41 30 32 32 32 33 34 35 36 37 38 39 40 30 30 30 31 32 33 34 35 36 37 38 39 -0 28 23 23 29 30 31 32 33 34 35 36 37 38 35 26 25 26 27 28 29 30 31 32 33 34 35 16 :0 24 24 24 25 25 27 23 29 30 31 32 33 3•1 S 22 2-1 22 23 24 25 25 27 28 29 30 31 32 _0 20 ..0 20 21 22 23 24 25 26 27 28 29 30 15 18 18 18 19 20 21 2-1 23 24 25 26 27 28 10 16 1C, 16 17 18 19 20 21 22 23 '_4 _5 =6 5 14 14 14 15 16 17 18 19 20 11 2-1 23 24 Box D. ,Maximum allowed shadepoint height �' _feet h:.iocs�na nc�hve+raan Isola►.ch o r Solar Balance Point Standard_Worksheet Address_ i t "� �' - J. ! ,' I re : <r' Box A caAculzAions: North-South dimension for the lot. Box'L This dimension is determined by finding the midpoint of the North lot line and drawing ' an intersecting line perpendicular to that point. Fr-,t, determine which property line i� the worth lot line The North lot line is the line with the s,-nailest angle from a line dawn east-west and intersecting the northern most point of-,he lot. d5' ... t ' t LIZ'� North-South M Dimension for Lot: Measure the distance from the midpoint of the North lot Hoe to the Louth lot line along the described line. feet T N Box B calculations: Shade point height for your residence. Box B, 1. Determine whether measurements will be based on the peak or cave of your Which describes structum. The orientation of the ridge is also important+ your residence? 1 a: If the roof line ruru North-Soutfi, measurements will (cirde ane) be based on the peak of the roof. Tc a o o .CNN—► 1A B 1C 1 b: If tFe roof line runs East-West and the roof pitch is less :,ran Si 1?, rneasuremerts ,-vill 'e ;;ase, cn :I-e ease. A I 1 c: If the rcnf line runs East-.Vest and the roof pitc:'i is 5/1 < ur steeper, measurements will be based on the peak. I S� ►Q1� f � . IItivS s.t., . 4otATT1A A,140 f sv.- 9 I� No L=10��o�n `aur�yrs S �rur=r✓� as V r-e . Tv �t►rMiv� dr VU-PL UN .� �=lu } ItorYtk,Ks j AS f)N ALT E%R S t/L r -- 2 �s SEQUOIA BUILDERS 10540 SW LAUREL ST. BEAVERTON, OR 9705 S.t.�• to*�z-c�� I�vs PHONE: 503-6464606 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE RAY NAB ELECTRIC 627 SE 18TH HILLSBORO OR 97123 Electrical Signature Form Permit # . • • • : MST91-0535 Date Issued. : 01/16/98 Parcel . . . . . . : IS135Dk-03000 Site Address : 11407 SW LOMITA AVE Subdivision. : Block . . . . . . . • Lot Jurisdiction.: TTG Zoning. . . . . . . R-4 . 5 Remarks : Rebuild and addto an existing duplex building. (unit 'B' has a demo permit #BUP97 -J538) Your company i'-as been indicated as the electrical contractor for the permit indicated above. In order for the electrivai permit to be valid, the signature of the supervising e;ectrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of work. No electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM ()jgNER : ELECTRICAL CONTRACTOR: VERNIG, SEAN 6c JUSTINE RAY NAB ELECTRIC 11405 SW LOMITA 627 SE 18TH TIGARD OR 97223 HTLLSBORO OR 97123 Plhone 4 : 639-4423 Phone # : Reg # . • : 000871 gna ure of Supervising Electrician Please return this completed form to the address above. ATTN: Building Dept. CITY OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . .*: DUP,97-053-8 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE: ISSUEr): 1 ;P/03/97 PARCEL : I.S.135DA-03000 SITE ADDRESS. . . : 111407 SW LOMITA AVE SUBDIVISION. . . . : ZONING:R--4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION:TIG REISSUE: Fl_0OR AREAS------------ FXTERIOR WALL CONSTRUCTION-- CLASS OF WORK. .-DEM FIRST. . . . C-2186 sf- N: S: E: W: TYPE OF USE. . . :SF SECOND. . . 0 5,f PROTECT OPEN INGS )----------- TYPE" OF' CONr,)T. :5N . . . 0 Sf N: S: E: W: OCCUPANCY JRP. : R3 TOTAL--._.--- 286 s ROOF CONST: FIRE RET" : OCCUPANCY LOAD: 0 BASEMENT. : CA Sf AREA SEP. RATED: STOP. : 0 HT: 0 f i; GARAGE.. . . : it, 5f OCCU SET-,. RATED: SSMT') : MEZZ?: REDD SETBACKS------------ RFDUIREij---------- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RUHT : 0 ft FIR SPKL: SMOK DET. . . DWELLING auTs: 0 FRNT: 0 ft REAR: 0 ft FIR AL.RM: HNDICP ACC: BEDRMS: 0 BATHS- 0 IMP SURFACE: 0 PRO CORR: PARKING: 171 VALUE'. $ : 0 Remark7i : Demolition of existing duplex "B" in preparation for building new duplex "B". All debris to be removed and sewer to be capped and inspected, Owner-: SEAN VERNIG i-,y P e amai.mt by atp rpcpt 1140EP SW L0111TA AVE. P R mT s 25. 00 D R(.4 12/0,3/97 97-301411 TIGARD OR 97222 5PCT $ DRA 12/03/97 97-301411. EROS $ 26. 00 DRA IR'/03/97 97-301411 Vhoyie #: 6139-44213 ERPIC $ 8. 45 DRA 12/03/97 97-301411 EPPC $ 8. 45 DRA 12/03/97 97-301411 Contractor : SEQUOIA BUILDERS INC 10540 SW LAUREL ST BEOVERTON OR 97005 Phone #: 64.6-4606 f 69. 1.5 TOTAL Req #. . - 000681 REQUIRED INSPECT TONS This permit is issued sjbject to the regulations contained in th Tigard Municipal Code, State of Ore. Specialty Codes and all oth:r applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, o- if work is suspended for unrP than 180 day!,. ATTENTION! Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in WR 95e-0014*10 throuoh OAR 952-00101987. You many obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. Per-mittpe 1-,-,'-Ipd By :, J ...... ....... ................. +++++4.+ +4-+ +++++++++4++++4.......4......4++++..........4 Cal 1 639-4175 by 7:00 p. m. for an inspection needed the next bl.isiness day ++++++++i+++-F............F+1-++++++++i 4+++++++++++4-4 4.+++++f...........4-++++4.-f-++++.F CITY t6r ]GARD Commercial Building Permit Recd B� + 13125 SJ HALL BLVD. Tenant improvement Date Recd r'_*1 TIGARD, OR 97223 Date to P.E. (503) 639-4171 Date to DST' Permits I Print or Type Related SWR s Incomplete or illegible applications will not be accepted Called Name of Development/Project— Existing Buildin New Building 17 Job , Address Street Address – Suite Building ,'f, r ) It/--1/7 f' Data Bldg s Cltyt tate Zip Existing Use of Building or Property: em / Name Properly n �r Proposed Use of Building or Property: Owner Mailing Address Suite _ No. Of Stories: City/Stale Zip Phone Sq. Ft. Oj Project: Occupant Name Occupancy Class(es) Name Contractor ^W�' t,�l F� � u t L C;r F�� Type(s)of Construction Prior to permit Mailing Address Suite _ issuance,a copy // Will this project tiave a Fire Suppression System? of all licenses ❑ _ are required If City/State tip Phone Yes No expired In C.0.1 Americans with Disabilities Act ADA database ; ✓N(E' �y(!G Valuation X 25% =$ _Participation Ortgnn Const.Cont.Board Llas Exp.Dato Complete Accessibili Form Project $ Name Valuation J Architect Plans Required: See Matrix for number of sets to submit Halling Address Qti a on back City/Slate Zip Phone I hereby acknowledge that I have read this application,that the Information given is correct,that I am the owner or authorised agent of the uwnw,and -- — Engineer that plans submitted are in compliance with Oregon State Laws. 'Jame 7of Owner/A ent Date Mailing Address�� Suite r�t :) L'r-<. Contact Person Name — Phone tate Phone /r � 4 FOR OFFICE USE ONLY Indicate type of work New C Addition O Demolition O Map/TLs Land Use: Ancessory StruQlure O Foundation Only O Alteration O Repw r O—� Other O Notes: Description of work: TIF: Perks Estimated 0 of Employees v -- Note: Site Work Permit Application must precede or accompany Building ",M Permit Application I ICOMNFW DOC (DST) 8197 ' COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE SITE 1 1 -- -- 3 (j,o,u) -- -- B (New or Add) 1 1 -- -- 3 (j,o,w) -- -- F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f) M (New or Add. or Alt) 1 1 -- -- 20,o) -- -- B & M (New or Add) 1 1 -- -- 3 O,o,w) -- -- P (New, Add. or Alt) 2 -- 2 -- B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o) -- E (New, Add, or Alt) 2 -- -- 2 -- -- 20,o) B & M & P & E (New, Add) 3 1 1 1 3 0,o,w) 2(j,o) 2 (j,o) B or B'&M(Alt) 1 1 20,o) B&M&P(Alt)_ 3 1 2 -- 2 0,o) 20,o) B&M&P&E(Alt) 3 1 1 1 20,0) 2 0,o) 2 G>o) NQTE1 KEY: a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP number of revised plans from applicant, stamps and completes, o = Office M = MEC updates and adds actions. f= Fire P = PLM u= USA E= ELC b. Shaded areas designate ALTsubmittals 0,niy. w= Wash. County F = FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with calculations. h\natnc.Doc CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE RAY NAB ELECTRIC 627 SE 18TH HILLSBORO OR 97123 Electrical Signature Form Permit # . . . . : MST97-0535 Date Issued. : 01/27/98 Parcel . . . . . . : 1S135DA-03000 Site Address : 11407 SW LOMITA AVE Subdivision. : Block. . . . . . . . Lot : Jurisdiction: TIG Zoning. . . . . . . R-4.5 Remarks : Rebuild and add to an existing duplex building. (unit 'B' has a demo permit #BUP97-0538) Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of work to the address above, ATTN: Building Dept. N-) electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM � MNER: ELECTRICAL CONTRACTOR: VERNIG, SEAN & JUSTINE RAY NAB ELECTRIC 11405 SW LOMITA 627 SE 18TH TIGARD OR 97223 HILLSBORO OR 97123 P}i )ne # : 639-4423 Phone # : Reg # . ). : 000871 / gna u oSupervising fec ncc If you have any questions, please call 639-4171 , ext. #310 ctl •� O .� `^ � G 2 c r 00 00 ON � 0 20 TO TO T �1 � �, 2 O °(71_ 0 EC) LLJ- � Cw7 U 'tCw7 ° m moo '.' �► 'ry `tu * m u 1 i 1 1 a rl W a a 02 c cri Un I V z vl O a t Z Z Z z Z z z Z Z Z Ld CJ0000 p W D r r Ort O, Q, C1 a, O` ON a C� V7 c`J M e Y v O H > c u 11C� o c g W a a U a w a. 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W W 4r~ N v 2 W CL Oa Fes- F cA ul) U H y ol,-� E � � ✓� �' y o u � M 8 ,s � � � Z 'v y oU ,p y 5 v 5 E `v v M U. �°`. n i Wi LC b of v > a > a w oG �k 3 r� U ✓� Q f i W C N CG N VI � 3 � a � cY ,roc cn r' r o0 Ind ce C M LOP) W 0 C ti �L L �O •�; z z z z z z Ln Q, rl U Mfn C x Ua, W) tu 000 1-- r V) con p� CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date Requested: A.M. P.M. MST: I oration: i •' / �1 C[T�" j � / rC% BI.TP: _ 1. Tenant: Suite Bldg MEC: Contractor._ l d.a.LA -`� ��./ J� Phone: I PI,M: Owner: �---- I'hone: _ _ EI,C: -- �� ZY, tl7 k, >l SrL BUILDING .J- 8LD(:(ct►nf PLUMBING MECHANICAL ELECTRICAL SITE Site Posl/Heam PostMeam Post/llcam Cover/Service Sewer/Storni Footing Roof Undl�l/Slab 'tough-ln Ceiling Water Line Slab Framing TopOut G"s Line Rough-In UG S rinkler Foundation Insulation c Scwc /'.�1 Ilo(,.i/1)uct P R�xoanect Vault Hsmi Damp Ihywall Storm i,urnace Tmnp Service MISC'. Masonry Ceiling Rain Thain A/C IJG Slab Shear/Sheath fire Spklr/Alm Crawl/Found Ih Ileat Pump Low Voll A r APPmvc Approved Approved Approve) ---- Appr/Sdwlk Not Approved Not Approved Not Approved FINAL FINAL FINAL, nreinspection M Reinspection fee of$. < inspectionuired before next _ — re � --_-�j 1 G O Unable to inspect Inspector -- Date ` _ �� ^ G� — ----- — — Page- of CITY OF TIGARD BUILDING INSPECTION DIVISION MST � 24-Hour Inspection Line: 639-4175 Business Linb: 639-4171 I [ BUP I Date Requested _AM__ PM __ BLD Location- � c�� Suite _ _ _ - MEC Contact Person 1i' _ Ph PLM Contractor 24'4--t�y( (t :3 L J Ph "" SWR UILDINQ Tenant/Owner ELC Retaining Wall �— ELR Footing _ Foundation Access: n_�'(�,f FPS Fto Drain v Lk" �� (trawl Drain Inspection Notes: SGN — 1cl iph U- .. —-- SIT Post& Beam " �— V Ext Sheath/Shear �--- Int Sheath/^hear Insillati n [,.,wall Nailing — _�✓�./ Firewall = Fire Sprinkler _ Fire Alarm Susp'd Ceiling Roof Mi c: 9 f �_--__ inal V ' PASS PART --- PLUMBING 2 _ y✓ ,Q��_-( � w �J�/� L•"� Post&Beam t — r op Out L9 Water Ater Service Sanitary Sewer Rain Drains �"-'' --------- ------- ----- f inal PA a—FAK FAIL wcHANICA Post Tream ------ -- -- -------- Rough In Gas Line ---------__._---- JLe Dampers Fi�al�T PASS PART FAIL. `;Fivice Rough In - ---- -- — -- -------- UG/Slab Low Voltage Fire Alarm - -------- — ------- - — ,— Final PASS PART GAILSITE 13ackfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ --requiv,d before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RF:_ _ — [ ]Unable to inspect :)access ff �/ ADA •wa Date I9 ° Inspector Ext�� 7 Other _ --- --- -- -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION J 24-Hour Inspection Line: 639-4175 Business Line: 639-4171MST ---_--- BUP �K -_Date Requested 3 Q __AM_ ,PM BLD - Location- 1 r ( CN U✓ _ Suite _ MEC Contact Person s . _ Ph 2� k PL.M Contractor Ph �2e"-(�.-' SWR BUILDING Tenant/Owner ELC — Y Retaining Wall ELR Footing Access: - Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes.- Slab otes:Slab _— —. —_----._ SIT Post& Beam /� Ext Sheath/Shear ' - n Int Sheath/Shear Framing ---- - - - -- - ----- Insulation Drywall Nailing -- Firewall - Fire Sprinkler ----__---- Fire Alarm Susp'd Ceiling -- Roof Final - PASS PART FAIL_ PLUMBING Post 8 Beam ---- - - - -----._._._.- - Under Slab TopOut - ------- --- -- ---._- -----_.___.. Water Service Sanitary Sewer ------ --�----------- -- --- - - Rain Drains Final - PASS PART FAIL - MECHANICAL Post& Beam - -__.__--- -_-_ -- ---------------- Rough In GasLine - -------- -- - -------------- -- - -------- -- Smoke Dampers Final - ----,�.- - --- ---- -_ ---- PASS PAf.t FAIL Service ----_�-.- -------- __ -- ---- - -- - ---- Rough In UG/Slab ----- --- - - ---- ---- I_ow Voltage Fire Alarm ------------_-._-- � [-ii r SS )PAR T FAIL SITE Backfill/Grading ___-_--_ -_-- _--- ---------- ----------- Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ -_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RC:_- -. [ ] Unable to inspect no access ADA Approach/Sidewalk //,, �i Other nate L(G.= toyd --_ Inspector _ — _ Ext _ Final PASS PART PART FAIL 00 NOT REMOVE this inspection record from the job site. i CITY OF TIGARD BUILDING INSPECTION DIVISION ` 35 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP 1, I . Date Requested _AM PM — BLD Location— l C� b 2G�� Suite MEC Contact Person _ � -L��'"LGC_ .� 2 _ Ph 4f 16 00 PLM Contractor Ph ` ' SWR BUILDING Tenant/Owner ELC _ Retaining Wall Footing Access' ELR --- `- Foundation FPS Ftg Drain --- Crawl Drain Inspection (votes-, SGN Slab — Post&Beam -j- / - SIT Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation - Drywall Nailing Firewall - Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misct�t� t a �� ✓ Fir P T F PA - — PbSf& am ---- -- -- _-- Under Slab I op Out - Water Service Sanitary Sewer - ------- -- - --Rain Drains /; A incl,-) � _-- — - -- ------- PASSF'PA T FAIL MECHANICA — — - - — Post& Beam Rough !n Gas Line ---- - — -- ----- Smoke Dampers Final - -- - - ------ PASS PART FAIL ELECTRICAL —��' ----- ----- — — _ Service Rough In — - - UG/Slab Low Voltage - - --— - --' Fire Alarm Final ---- --- --_---_ -- PASS PART FAIL SITE Backtill/Grading ------ — ----- _— -- Sanitary Sewer Storm Drain ( J Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE:_- _ ( ] Unable to inspect-no access ADA ApproachiSidewalk nther Date — f' 15 - i —Inspector _� --_--- Ext _ Final -- PASS _PART FAIL_J DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIV!SION MST�Z 7 24-Hour Inspection Line: 639-4175-7 Business Line: 639-1171 BUP Date Requested 1 � 1 " � AM_ PM BLD Location ;L•(.1 �7?t�c-t-� Suite _ MEC �� 0(7 C Contact Person b�.� Ph PLM -- — Contractor Ph SWR _ ELC Tenant/Owner _ Retaining Wall ELR _ Footing Access: FPS _ Foundation Ftg Drain SGN _ Crawl Drain Inspection Notes: Slab SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing -- ---- Insulation Drywall Nailing �- Firewall Fire Sprinkler - - - - ------- ---- - ----------- Fire Alarm - Susp'd Ceiling -----__- -- Roof PA PART FAIL --- --- -- --- - MBING - Post&Beam Under Slab --------- -- -._..-- ---- _._-_-_- -- -_ -- Top Out Water Service __..- --- ---- --- -- --._-- —.-_-_-- - Sanitary Sewer Rain Drains - _-._----- - --------._-_-_ ----------- Final PASS P/1RT FAIL _-----._.------ --- --- - --..--- MECHANICAL PoslB Beam __. �------- -------------- - - -. Rough In --._-_--_- - -- - Gas Line ---- - -- - Smoke Dampers - -- ---_ __ ---- -------__-_ Final - - - PASS PART FAIL --- ELECTRICAL --.._-__----------------------.-___- Service -_.�,-__..__------ - - --- ----------_- Rough In _-_---- -- UG/Slab ------- --- ---- --- L-ow Voltage v Fire Alarm -_ - -------_----- ---- ___ - Final --- PASS PART FAIL _-__-- - ---- --- ----- SITE Backfill/Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of$ required before next inspection. Pay at City Hall, 1312.5 SW Hall Blvd Catch Basin1 Unable to inspect -no access Fire Supply Line [ J Please call for reinspection RE:-__-_- --- - [ ADA it Ll Ext Approach/Sidewalk Date _ Inspector__ I Other - Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.